CAJ | 학술논문

目的分析单纯气液交换联合环扎手术治疗玻璃体切割术后视网膜脱离的效果以及影响因素.方法收集2005年1月至2007年6月应用单纯气液交换联合环扎手术治疗玻切术后视网膜脱离的临床资料,应用Pierce考马斯亮蓝比色法测定术中取出的玻璃体腔液体蛋白质总浓度.分析影响手术效果的可能因素.结果单纯气液交换联合环扎手术治疗玻切术后视网膜脱离共19例(19只眼),手术成功率为78.9%.失败4只眼均为下方裂孔,视网膜脱离时间平均11.3d,3只眼为视网膜全脱离.蛋白质浓度手术失败眼与成功眼差异有显著性(P<0.01.结论单纯气液交换联合环扎治疗玻切术后视网膜脱离可以获得较好的疗效.对于下方裂孔并且视网膜脱离时间长,范围大的患者应采用再次玻璃体手术.
목적 분석단순기액교환연합배찰수술치료파리체절할술후시망막탈리적효과이급영향인소.방법 수집2005년1월지2007년6월응용단순기액교환연합배찰수술치료파절술후시망막탈리적림상자료,응용Pierce고마사량람비색법측정술중취출적파리체강액체단백질총농도.분석영향수술효과적가능인소.결과 단순기액교환연합배찰수술치료파절술후시망막탈리공19례(19지안),수술성공솔위78.9%.실패4지안균위하방렬공,시망막탈리시간평균11.3d,3지안위시망막전탈리.단백질농도수술실패안여성공안차이유현저성(P<0.01.결론 단순기액교환연합배찰치료파절술후시망막탈리가이획득교호적료효.대우하방렬공병차시망막탈리시간장,범위대적환자응채용재차파리체수술.
Objective To analyze the outcome of fluid-air exchange combined with scleral buckling to treat retinal detachment after vitrectomy.Methods From January 2005 to June 2007,the data of patients who were performed fluid-air exchange combined with scleral buckling to treat retinal detachment after vitrec-tomy in our department were collected.Pierce coomassie protein assay was used to measure total protein con-centrations of vitreous fluids obtained within operation.Results Complete data were available for 19 eyes in 19 patients.Retinal reattachment rate with fluid-air exchange combined with scleral buckling was 78.9%.Inferi-or located retinal hole and long duration of detachment were found in all 4 eyes which retina failed reattach with surgery.There were 3 eyes with total retinal detachment among 4 eyes.Statistical analysis showed that the difference of protein concentrations between success and failed eyes were significantly (P <0.01 ).Conclusion Good results of retinal detachment after vitrectomy could obtain from fluid-air exchange combined with scleral buckling.Vitrectomy should be choose to treat those with inferior located retinal hole, long detachment duration and total detachment.